Budget description (list amounts in US dollars). No money can be paid for unidentified or "miscellaneous" expenses. *

Please provide details of the items in your budget. Be specific, including number of days and rate per day. Give amounts in USD.

Travel Allowance Status

Please report the balance of your current travel allowance (current fiscal year) and specific plans for those funds, if known. If the balance is zero, please note that. Also summarize specific plans, if any, for the next year's travel allowance.

Current Fiscal Year (July 1- June 30) *

Plans, if any, for funds (i.e. activity, location, estimated cost)

Next Fiscal Year (July 1-June 30) *

Plans, if any, for funds (i.e. activity, location etc)

Other Financial Support

Please list any other sources of financial support you plan to use during the grant period (external grants, start-up funds, etc).

Do you intend to apply for financial aid elsewhere? *

Yes

No

If yes, where? (Include notification dates.)

Additional Documentation

Additional Information

Yes, I am submitting a conference invitation/acceptance letter (or other documentation to support my request) by uploading below or by sending as an e-mail attachment to fac-grant-web (at) mtholyoke.edu.

No, I am not submitting a conference invitation/acceptance letter. Use the box below to explain why you are not submitting a letter.

VERY IMPORTANT: No spaces in file name(s)! File(s) may be in one of the following formats: doc, docx, odf, pdf, rtf or txt.

Institutional Review Board (IRB)

Research projects that involve the use of human subjects require the approval of the college Institutional Review Board (IRB). Faculty members in the sciences, social sciences, humanities, and performing and studio arts who are doing research that involves surveys, interviews, or other direct intervention or interaction with human subjects may be subject to the IRB process. If the Faculty Grants Committee determines that an application is likely to require IRB approval, an award will not be made until such approval has been obtained.

IRB approval

My research project involves human subjects and I have obtained IRB approval.

My research project involves human subjects but I have not yet obtained IRB approval.